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I am interested in serving as a Delegate or Alternate Delegate at the 2010 AORN Congress being held in Denver Colorado. I am willing to complete all the attendance requirement that serving as Delegate or Alternate Delegate requires and
represent Rockford Chapter of AORN #1403

Signed ____________________
Dated _____________________

email President Debra Persaud or copy this form and bring to November meeting. 





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